You have the RIGHT to remain safe
This is the number of times the nurse should check a medication prior to administration
What is three?
Nurses may need to place a nasogastric tube for enteral nutrition. The nurse would use these anatomical landmarks for measuring tube length prior to insertion
What are nose, earlobe, and Xiphoid process?
Match the routes of medication administration with their corresponding descriptions:
Routes of Medication Administration:
Descriptions: A. Directly into the bloodstream
B. Through the skin or mucous membranes
C. Into the muscle tissue
D. Under the skin, but above the muscle E. By mouth, swallowed into the digestive system
Subcutaneous injections are given at this angle with this size needle
What is 45 degree and 5/8" or 90 degree and 3/8"
Fill in the blank: Proper foot hygiene includes ______& ______ to prevent fungal infections and maintain healthy skin.
What are washing and drying
A client states they do not want to take the morning medication being provided. The nurse decides to crush the med and give it in apple sauce. This medication "right" is being violated.
What is the "right to refuse"?
Clients receiving enteral nutrition must be able tolerate an elevated bed position at this angle
What is 45 degrees?
When preparing to mix a clear and cloudy insulin in one syringe, the nurse will inject AIR into which vial of insulin first
What is cloudy?
Intramuscular injections are given at this angle with this length of needle
What is 90 degree and 5/8" to 1.5 inch?
Dentures should be stored this way when not in use.
What is in cold water?
`The nurse reviews the following order in the client's chart.
Give Tylenol 650 mg PO Q6hours prn.
Without additional information, which "right" of medication administration would be violated if this is given?
What is "right reason"?
These medication types would need to be substituted rather than crushed when caring for a patient with an NG tube?
What is XR, ER or enteric coated?
Question: Which of the following best describes a drug allergy?
A) A temporary adverse reaction to a medication
B) An immune system response to a medication
C) A psychological aversion to a medication
D) A genetic predisposition to tolerate certain medications
B) An immune system response to a medication
It is imperative for the nurse to do this to injection sites to prevent atrophy of tissue
What is rotate?
This type of bath may be given to cleanse parts of the client’s body that might cause discomfort or odor, if neglected, such as the face, hands, axillae, perineal area, and the back.
What is a Partial Bath?
This medication right(s) are not addressed in the following prescription:
Give J.M. 25 mg diphenhydramine now.
What are route & documentation?
Name and define at least 3 of the potential indications for NG tube insertion.
Decompress, lavage, administer, manage, & aspirate
Your client has symptoms consistent with a diagnosis of dysphagia. This "risk for" nursing diagnosis would be prudent to monitor for
What is risk for aspiration?
This is the ideal muscle to give a 4mL IM injection for an adult
What is vastus lateralis?
Why is oral care important for hospitalized patients?
A) To maintain a fresh breath for social interactions with visitors
B) To prevent the development of cavities and tooth decay
C) To reduce the risk of aspiration pneumonia and other respiratory infections
D) To improve the taste of food provided in the hospital
C) To reduce the risk of aspiration pneumonia and other respiratory infections
This medication administration right requires the nurse to reassess the client to determine if the desired medication affect has occurred
What is "right evaluation"?
The nurse is caring for a client receiving bolus feedings through the NG tube every 6 hours. These steps should be completed with each feeding.
1. Gloves
2. Elevate HOB
3. Check NG tube placement by aspiration
4.Check for volume of gastric residuals
5. Return residuals if less than 500 mL
6. Irrigate tube with 30 mL of water
7. complete feeding and/or med administration
8. Flush tube again with at least 30 mL of water.
This is the term used to describe a client who takes multiple mediations to treat the same illness. Name 2 ways to minimize the associated risk.
What is polypharmacy?
Medication reconciliation, encouraging use of one pharmacy, keeping a list of medications with the client, collaborating with an interdisciplinary team, frequent communication between HCP.
Using these landmarks will ensure accurate access to the ventrogluteal muscle for IM injections
What are the greater trochanter, anterior superior iliac spine and iliac crest?
Name at least 3 steps the HCP should complete to ensure client safety after bedmaking.